Delaware medical journal最新文献_第10页

Implementing a patient portal at the family medicine center. 在家庭医学中心实施患者门户。

Delaware medical journal Pub Date : 2015-03-01

Margot Savoy, Julie A Hammond, Laura Castellano

引用次数: 0

The changing face of patient care: delivering patient-centered and culturally competent care in an evolving world. 不断变化的患者护理面貌:在不断发展的世界中提供以患者为中心和具有文化能力的护理。

Delaware medical journal Pub Date : 2015-03-01

Rhonda Moore Johnson

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New beginnings and painful endings. 新的开始和痛苦的结局。

Delaware medical journal Pub Date : 2015-02-01

Nancy Fan

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What's old is new again--a 25-year-old female with fever and rash. 旧的又是新的，一位25岁的女性，发烧和皮疹。

Delaware medical journal Pub Date : 2015-02-01

Lauren Branditz, Jonathan McGhee

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Low back pain: not always a benign symptom. 腰痛:并不总是一种良性症状。

Delaware medical journal Pub Date : 2015-02-01

Omar Chohan, Erin Kavanaugh

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Impact of a robotic surgical system on hysterectomy trends. 机器人手术系统对子宫切除术趋势的影响。

Delaware medical journal Pub Date : 2015-02-01

Megan N Wasson, Matthew K Hoffman

{"title":"Impact of a robotic surgical system on hysterectomy trends.","authors":"Megan N Wasson, Matthew K Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the impact of introduction of a robotic surgical system on hysterectomy trends.Methods: A retrospective, cohort study using longitudinal medical records from a tertiary care community hospital was used to determine the surgical approach to hysterectomy. For the purposes of analysis, surgical approaches were categorized as robotically assisted, laparoscopic, laparotomy, vaginal, or laparoscopically assisted vaginal.Results: A total of 4,440 women underwent a hysterectomy between January 2007 and December 2012 (benign gynecology N = 3,127, gynecologic oncology N = 1,001, urogynecology N = 312). Amongst benign gynecologists, during the five years following introduction of the robotic system, the rate of hysterectomy performed via laparotomy decreased from 62.2 percent to 39.1 percent, p-value < 0.001. The rate of robotically assisted hysterectomy increased from 0.0 percent to 26.4 percent, p-value < 0.001. When subspecialties were examined, the rate of hysterectomy performed by a gynecologic oncologist via laparotomy decreased from 89.7 percent to 20.0 percent, p-value < 0.001. The rate of robotically assisted hysterectomy increased from 0.0 percent to 78.3 percent, p-value < 0.001. Amongst urogynecologists, the rate of hysterectomy performed vaginally decreased from 80.0 percent to 33.6 percent, p-value < 0.001, while the rate of robotically assisted hysterectomy increased from 0.0 percent to 54.2 percent, p-value < 0.001.Conclusions: The percentage of robotically assisted hysterectomies has dramatically increased and is now the primary modality for performing hysterectomy amongst subspecialists.","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 2","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2015-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33219183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Road map to developing a fellowship program in a tertiary care hospital. 在三级保健医院发展奖学金计划的路线图。

Delaware medical journal Pub Date : 2015-01-01

Raj Padman, Angie Cable, Katherine A King

{"title":"Road map to developing a fellowship program in a tertiary care hospital.","authors":"Raj Padman, Angie Cable, Katherine A King","doi":"","DOIUrl":"","url":null,"abstract":"Background: The American Academy of Pediatrics has identified the need for more subspecialists. Beginning a pediatric pulmonary fellowship program in a tertiary care hospital can be a challenging process. Persistence, perseverance, and working through barriers to education are important strides to take toward achieving this goal. We share our experience with this endeavor. The objective of this study was to describe our experience developing a pediatric pulmonary fellowship program, the challenges we faced, and the methods we used to meet and overcome those challenges.Methods: Self-reflection by the program director, associate director, and coordinator involved in the development and implementation of a successful fellowship program. This includes the step by step process, effort, and time commitment needed for planning and implementing a fellowship program. Our goals are to share this information with the medical community. RESULTS/OUTCOMES/IMPROVEMENTS: Planning, preparing, and implementing a pediatric pulmonary fellowship program can be challenging in the current economic climate, especially considering budget constraints and increasingly demanding clinical mandates. Department chairs and administrators view work relative value units as a marker for remuneration; educational efforts are more often an unfunded mandate. Major difficulties included imposing new educational expectations on the clinical staff and expanding the budget to include fellows' costs. Developing a program information form (PIF) was a work-in-progress over a two-year period with the dedicated staff meeting regularly during this time.","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 1","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33033801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ebola and moral philosophy: the trolley problem as a guide. 埃博拉和道德哲学:以电车问题为指导。

Delaware medical journal Pub Date : 2015-01-01

James F Lally

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Vaccinations: why they still matter. 疫苗接种:为什么它们仍然重要。

Delaware medical journal Pub Date : 2015-01-01

Nancy Fan

引用次数: 0

Patent ductus arteriosus incidentally suspected on a routine intracranial ultrasound for prematurity; confirmed on echocardiogram. 动脉导管未闭在常规颅内超声检查中偶然怀疑为早产儿;超声心动图证实。

Delaware medical journal Pub Date : 2015-01-01

Katie S Traylor, Reza Daugherty

引用次数: 0